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Organization
ICON INDUSTRIES OF TEXAS, LLC
Active
Organization
ICON INDUSTRIES OF TEXAS, LLC
Active
Other names
Landmark Physicians Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRETT SHELTON BRATCHER M.DIV., LNFA (CEO)
(817) 881-7969
Entity
Organization
Contact information
Practice address
443 BLUFF RIDGE RD, WEATHERFORD, TX 76087-1516
(817) 881-7969
(817) 448-9083
Mailing address
443 BLUFF RIDGE RD, WEATHERFORD, TX 76087-1516
(817) 881-7969
(817) 448-9083
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
TX
Other
Enumeration date
12/14/2006
Last updated
08/22/2020
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